Abstract
Inability of clients to pay as low as $ 1.2 to initiate a Family Planning method has contributed to the country’s low Contraceptive Prevalence Rate (CPR) in Nigeria. Until the adoption of free family planning policy in Nigeria, women had to pay fees ranging from about $1 to $3. Considering the fact that abortion is illegal in Nigeria, coupled with the fact that illegal abortion can be expensive, many of these women ended up with unintended pregnancies. The adoption of the policy on free family planning services to women by the Federal Government of Nigeria in 2012 was therefore received positively by civil society organisations. This paper intends to highlight the position before and after the adoption of this policy, by using the ARFH Model Clinic statistics as a primary guideline. In addition, the paper will provide an analysis of how this policy can be better implemented. Findings from this study show that free family planning service influences choice of modern contraceptives as demand for implanon increased when provided free compared to other modern methods. It is therefore, recommended that family planning services for all methods in all public health facilities should be provided free.
Highlights
The contraceptive prevalence rate in many Sub-Saharan African countries is still low despite the relative high knowledge and awareness of contraception
Nigeria is yet to derive significant benefits of family planning, as her use of contraceptives has remained persistently low, prevalence of modern contraceptive use stagnating at 10% among currently married women [5], much lower than the African average [6]
This paper assesses the choice of modern contraceptives among women attending the family planning clinic of Association for Reproductive and Family Health, Ibadan, South West Nigeria, as well as determinants influencing these choices, which could assist in determining the type of contraceptive devices supplied to a family planning clinic and in devising a strategy for improving contraceptive acceptance and family planning policy implications
Summary
The contraceptive prevalence rate in many Sub-Saharan African countries is still low despite the relative high knowledge and awareness of contraception. Nigeria is yet to derive significant benefits of family planning, as her use of contraceptives has remained persistently low, prevalence of modern contraceptive use stagnating at 10% among currently married women [5], much lower than the African average [6]. The use of any modern contraceptive method was reported to be high among women of child bearing age in rural communities in South Western Nigeria, with the prevalence rate of 66.3%, and the unmet need was 26.3% [8]. This paper assesses the choice of modern contraceptives among women attending the family planning clinic of Association for Reproductive and Family Health, Ibadan, South West Nigeria, as well as determinants influencing these choices, which could assist in determining the type of contraceptive devices supplied to a family planning clinic and in devising a strategy for improving contraceptive acceptance and family planning policy implications. Factors associated with utilization of long acting and reversible contraceptive methods
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